WARMAdvantage Program Rebate Application Rebate ...

WARMAdvantage Program Rebate Application

Rebate Application Instructions, Terms and Conditions

For Systems Purchased on or after July 1, 2019 through June 30, 2020

An online application is available at WARM

Please read the program instructions, terms and conditions before completing the form on the other page.

A. CUSTOMERS ? TO QUALIFY FOR YOUR REBATE, YOU MUST

1. Select a contractor that agrees to follow all of the requirements as listed below. 2. Purchase, install and operate high-efficiency equipment as outlined in the table below. Abide by the rules and rebate levels in effect at the date of purchase. 3. Replace and/or retrofit an installation in an existing New Jersey home which is supplied with oil, propane, natural gas, IOU electric or municipal or co-op electric. 4. The efficiency levels are based on the ratings found at the AHRI directory () or the ENERGY STAR? listing (). 5. To qualify for a furnace or boiler rebate, the installer must do the following:

a) Select the equipment in accordance with ACCA Manual S based on loads calculated in accordance with ACCA Manual J 6. All units must be purchased by June 30, 2020; however all applications must be postmarked within 180 days of the purchase date to be eligible. Please see

below "C. Important Terms and Conditions" items 1 and 2 for funding availability.

Equipment Type

Minimum Efficiency Criteria

Furnace

Natural Gas/ Propane

Oil

Tier 1 Tier 2

AFUE* 95% or greater AFUE 97% or greater AFUE 85% or greater

Boiler

Water Heater

Natural Gas/ Propane

Oil

Natural Gas/ Propane

Natural Gas/ Propane

Electric

Hydronic

Tankless-OnDemand Tank, Powervented Heat Pump

Furnace & Water Heater Combination*** (use one form)

Boiler & Water Heater Combination*** (use one form)

AFUE 90% or greater

AFUE 87% or greater

55 gallons & Unifrom Energy Factor ? UEF 0.85, or greater

Uniform Energy Factor ? UEF 2.0, or greater Qualifying Tier 1 natural gas/propane furnace (above) AND a qualifying water heater (above) Qualifying Tier 2 natural gas/propane furnace (above) AND a qualifying water heater (above) ? Combi Boiler--an Integrated unit, combining a water heater and a qualifying

boiler (above) ? Qualifying stand-alone water heater (above) AND a qualifying boiler (above) ? Indirect water heater attached to a qualifying boiler (above)

Homeowners located in a designated Urban Enterprise Zone (UEZ) may be eligible for additional incentives for the purchase of qualifying equipment (above). Verification of home being located in a designated UEZ required.

Total Rebate $250 $500 $250 $300

$300

$750 $700 $950

$700

$200 per unit

*AFUE (Annual Fuel Utilization Efficiency) **Tankless on-demand WH UEF 0.81, or greater eligible until 7/31/19 ***To be eligible for the combination rebate, applications for both, the heating system and the water heater must be submitted at the same time. If applications are submitted separately, they will be processed as separate applications and the customer will only be eligible for the individual incentive available for each of the measures.

B. INSTRUCTIONS FOR COMPLETING THE REBATE FORM As the customer, you are responsible to see that all requirements are met.

Section A & B of this form

Customer to complete and sign

Section C of this form Section D of this form

Contractor to complete and sign Contractor to complete

REQUIRED: Copy of itemized sales receipt or contractor's invoice--marked PAID or FINANCING ARRANGEMENTS-- and clearly indicating: 1) Customer Name & Installation Address, 2) Date of Purchase, 3) Manufacturer, 4) Model Number, 5) Total Cost

Submit with application

REQUIRED: Copy of UPC Label, distributor's invoice, photo of nameplate, or warranty registration confirmation showing model and serial numbers

Submit with application

REQUIRED: Copy of AHRI Certificate rating sheet, showing AFUE and BTUH, or UEF. If unavailable, a copy of the ENERGY STAR listing is acceptable.

Submit with application, found at

REQUIRED: Municipal Building Permit number entered on application and/or a copy of the Permit or Permit Application

Submit with application

REQUIRED IF APPLICABLE: UEZ verification of home being located in a designated UEZ, submit screen shot of address look-up verification from

Submit with application

Your contractor must submit the rebate documents for you, we suggest you request a set of copies to be mailed to you. Mail a copy of the signed application along with the receipt to the address below:

New Jersey's Clean Energy ProgramTM ? WARMAdvantage ? 75 Lincoln Highway Suite 100?Iselin, New Jersey08830-1533

WARMAdvantage Program Rebate Application

C. IMPORTANT TERMS AND CONDITIONS 1. This program is based on availability of funds. Procedures, requirements and rebate levels are subject to change and the program is subject to

cancellation without notice. 2. Funding for oil, propane, or municipal electric customers are provided through the Unites States Departments of Energy State Energy Program (SEP). 3. Due to the limited availability of funds, the program will terminate at the earlier of when funds are exhausted or June 30, 2020.

Program termination will be posted on . 4. It is the responsibility of the customer to assure that all requirements for the rebate are met and that all required documentation is provided by your

contractor. 5. Failure to provide any of the required information will prevent processing of your application. 6. Rebate eligibility will be based on the equipment purchase date. 7. Incentives are available for the installation (retrofit) of qualified HVAC equipment in existing residential buildings; newly constructed home are not

eligible. 8. Please allow up to 120 days from the date New Jersey's Clean Energy Program (NJCEP) receives all required information to process your rebate. 9. If the customer portion of the rebate is to be assigned to another party, the customer must authorize this by completing and signing section B of the

application form. 10. NJCEP reserves the right to inspect all installations in order to ensure compliance with all program requirements. 11. NJCEP provides no oversight or control over any contractor services related to this program. Responsibility for proper sizing of equipment, as well as

delivery and workmanship related to any equipment or services the customer procures, rests exclusively with the contractor selected by the customer. NJCEP assumes no responsibility for oversight of contractor services. 12. NJCEP audits its rebate programs as a protection against consumer and/or contractor fraud. Any attempt to defraud NJCEP will result in automatic rejection of the rebate application and possible legal action. 13. Installations must be completed in accordance with all laws, codes and other requirements applicable under federal, state and local authority. 14. Customers participating in other programs within NJCEP or New Jersey Weatherization Assistance Programs may not be eligible for rebates.

Mail a copy of the signed app and all required documents to: New Jersey's Clean Energy Program, WARMAdvantage 75 Lincoln Hwy, Suite 100 Iselin, NJ 08830 For more information, contact 866.NJSMART ?New Jersey Board of Public Utilities. All rights reserved. Keep copies of all documents for your records

WARMAdvantage Program

Rebate Application

An online application is available at WARM

For Systems Purchased on or after July 1, 2019 through June 30, 2020

Before completing this form, please refer to the program instructions, terms and conditions accompanying this form.

A. CUSTOMER INFORMATION (Customer to complete all information and sign)

Electric Utility: Atlantic City Electric Jersey Central Power & Light PSE&G Rockland Electric Account Number:

Municipal/Coop Electric Company Name:

Account Number:

Heat Fuel Provider Utility: New Jersey Natural Gas Elizabethtown Gas PSE&G

Existing Equipment Fuel Type:

Natural Gas Oil Propane Electric

New Equipment Fuel Type: Natural Gas Oil Propane Electric

South Jersey Gas Other

Account Number:

First Name:

Last Name:

Installation Address:

UEZ Address Verification Attached

City:

State: NJ Zip:

Daytime Phone: ( )

Email (Required for optimal Program communication):

[Check only if the following applies:] I am affiliated with a contractor that performed work on my NJ HPwES Program project or I am affiliated with a company that performs services for the NJ Clean Energy Program. As such, I acknowledge that I will be required to have a field inspection performed on my home

WARMAdvantage incentives are available for the installation (retrofit) of qualified HVAC equipment in existing residential buildings only; installations of equipment in new homes are not eligible for WARMAdvantage incentives.

Reason for installing new equipment: Conversion from oil

Conversion from electric Conversion from propane

Retired old inefficientequipment Replaced burn-out equipment Home Addition

Supplemental to existing heating system

I have read, understand and am in compliance with all rules and regulations concerning this rebate program, including the instructions, terms and conditions provided on the cover page of this

application form. I give NJCEP permission to share my records with the New Jersey Board of Public Utilities or its contractors, who plan to evaluate my energy usage. Additionally, I allow reasonable

access to my property to inspect the installation and performance of the technologies and installations that are eligible for incentives under the guidelines of NJCEP. I certify that old equipment has been

replaced and the replaced equipment has been recycled according to the laws of the state of New Jersey. I have been made aware of the concerns and potential dangers should I replace gas heating

equipment (e.g., furnace or boiler) without replacing a water heater that is either direct vented or power-vented as per information provided by New Jersey's Clean Energy Program at

SAFETY. I certify that all information provided in and with this document is correct to the best of my knowledge. I am aware that if any information is willfully false, I am subject to

punishment.

Customer Signature: ____________________________________________________________________________________Date:_____________

B. Alternate Payee Name or Address: If the rebate is to be issued to another party or address, customer must fill out and sign.

Alternate Rebate Recipient: First Name: Mailing Address: City:

Last Name: Daytime Phone:(

) State: ________Zip:

Customer Signature:

Date:

C. CONTRACTOR/INSTALLER All fields must be completed by installing contractor. Or, an online application is available at WARM.

Company:

Street Address:

City:

State:

Zip:

Daytime Phone: (

)

Email Address:

I certify that the system has been installed in accordance with the manufacturer guidelines and the equipment was sized in accordance with ACCA Manual S based on accurate heating/cooling loads calculated in accordance with ACCA Manual J. I understand that the NJ Board of Public Utilities requires this certification in the state of New Jersey for participation in the WARMAdvantage Program. I certify that all information provided in and with this document is correct to the best of my knowledge. I am aware that if any information is willfully false, I am subject to

punishment. Contractor Signature____________________________________________________ (Required): Date:

______________

D. EQUIPMENT INFORMATION All fields must be completed by installing contractor. Please complete both sections if applying for the combination.

Municipal Building Permit Number (or submit permit application): Equipment Purchase Date (must be on paid receipt):

Total Installation Cost (Equipment + Labor) $_____________________________________

Heater Information

Manufacturer

Model Number

Serial Number

Heater Type: Gas Oil Propane AHRI Certificate Reference number:

Furnace Boiler Combi-boiler

Btu Input:

Replacing existing fuel type: Gas Oil Electric resistance

AFUE: Propane

Water Heater Information

Manufacturer

Model Number

Serial Number

Type: Gas Oil Propane

Tank Tankless Indirect w/boiler Heat Pump Gals.:

UEF:

AHRI Certificate Reference number:

Replacing existing type: Tank Tankless

Indirect tank

Mail to: New Jersey's Clean Energy ProgramTM ? WARMAdvantage ? 75Lincoln Highway Suite 100?Iselin, New Jersey08830-1533

?New Jersey Board of Public Utilities. All rights reserved.

For more information contact 866.NJSMART

Keep copies of all documents for your records 0619

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download